Contact Requirements
How long do you have to offer an HRA to a new enrollee MSHO member?
30 days from enrollment
How many days should post assessment letters be sent out?
Within 90 days following the assessment and within 90 days of notification of enrollment.
How many attempts are needed to be completed for the CCP Provider Summary/Cover Letter?
2 - one within 30 days of assessment, and one within 60 days of assessment.
Annual Re-Assessments needs to be completed with in how many days?
365
TOC logs are not required when the Care Coordinator finds out about all transition(s) after how many days?
15 calendar days or more after the member has returned to their usual care setting.
By which day of the month does a transfer need to be submitted to another delegate/county?
The last day of the month
What program can we use for transitional services if a member would like to move out of a nursing home into the community?
Moving Home Minnesota
Are mailing an initial member and provider letter required for product changes?
Yes
When do you need to enter the assessment type and date into the Bridgeview Company’s web tool?
by the 10th of the following month.
Reassessment is completed for a CW or EW member and a decision is made by member/CC to reduce service(s) and service(s) will be less in the new assessment/waiver span, Is a DTR required or not?
Required
How many attempts do you have to make when setting up an assessment/ re-assessment?
3 attempts, Plus a Letter
What form do we need to send to a nursing home upon notice of admission?
OBRA Level I Screening
How long do you have to send an Intro to Doctor letter after a member newly enrolls?
90 days
Which assessment document needs to be completed for members on another waiver (CADI, BI, DD)?
3428H
Upon completion of the PCA assessment, the CC is responsible for providing a copy of the completed PCA Assessment to the member and PCA provider as well as submitting an authorization to AGP within how many days?
10 days of the assessment.
How many days do you have to initiate the TOC process after notification of an inpatient stay?
1 business day
When a member transfers from the community to long-term placement in a skilled facility, the NH assessment should be conducted within how many days?
45 days
When do you send a member change letter?
At any point in the span that services hours or service providers are changed.
When is a Transitional HRA needed?
Within 30 days of a product change or transfer from another delegate/county.
A member with existing service(s) previously authorized by the CC is due for reassessment and is unable to contact/ declines reassessment and service(s) end at the end of the current assessment/waiver span (does not apply to members with another HCBS waiver case manager), is a DTR required or not?
Required
During a semi-annual contact with a member who has typically been unreachable or a refusal, what do we need to offer?
An HRA.
What must you receive a copy of from the nursing home when completing a nursing home HRA?
Do you need to send an Intro to Doctor Letter to a new enrollee if you completed an assessment with them?
No
Which services should be submitted through AGP UM using the Request for Service Authorization form?
State Plan Services - PCA, PCA Supervision, SNV, PT, OT, HHA
If a CW member is unable to meet with you timely due to personal obligations, does a refusal need to be completed?
Yes